How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $173.78 Median $851.14 Typical High $3,630.78 | Facility | None | $173.78 | $851.14 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $1,412.54 Typical High $2,818.38 | Professional | None | $173.78 | $1,412.54 | $2,818.38 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | 50 · Both sides | $2,238.72 | $2,238.72 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $6,760.83 Typical High $11,220.18 | Facility | None | $1,174.90 | $6,760.83 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $1,584.89 Typical High $3,311.31 | Professional | None | $162.18 | $1,584.89 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $2,344.23 Typical High $5,011.87 | Professional | 50 · Both sides | $239.88 | $2,344.23 | $5,011.87 |
CareSource Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $2,398.83 | Facility | None | $162.18 | $269.15 | $2,398.83 |
CareSource Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $275.42 | Professional | None | $181.97 | $234.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,584.89 Typical High $1,819.70 | Facility | None | $34.67 | $1,584.89 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $1,479.11 Typical High $17,378.01 | Professional | None | $169.82 | $1,479.11 | $17,378.01 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $741.31 Median $1,621.81 Typical High $5,128.61 | Facility | None | $741.31 | $1,621.81 | $5,128.61 |
United Setting Professional Modifier None Typical Low $204.17 Median $1,513.56 Typical High $5,370.32 | Professional | None | $204.17 | $1,513.56 | $5,370.32 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $131.83 Median $154.88 Typical High $2,754.23 | Facility | 54 · Surgery only | $131.83 | $154.88 | $2,754.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $199.53 Typical High $1,318.26 | Professional | 54 · Surgery only | $131.83 | $199.53 | $1,318.26 |
Where Kentucky sits
The same service costs 10.5 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 43rd of 51
$1,479
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.